Therapists in Santa Fe, NM

Photo of Carrie Tansey Ishee, MA, LPAT, LPCC, ATR, PCC, Counselor
Carrie Tansey Ishee
Counselor, MA, LPAT, LPCC, ATR, PCC
Verified Verified
1 Endorsed
Santa Fe, NM 87505
Waitlist for new clients
My therapy and coaching work is based on a belief that we all long to experience love, connection, purpose, and peace in our lives. Symptoms that arise such as anxiety, depression, relationship struggles, and physical illnesses signal a call to resolve and clear what is in the way of a happier life. My work embraces a holistic paradigm recognizing body, mind, and spirit, and focuses on helping clients learn to love and care for themselves as special and unique beings. Clearing out negative beliefs, healing emotional wounds, and eliminating toxic influences help clients live more authentic and empowered lives.
My therapy and coaching work is based on a belief that we all long to experience love, connection, purpose, and peace in our lives. Symptoms that arise such as anxiety, depression, relationship struggles, and physical illnesses signal a call to resolve and clear what is in the way of a happier life. My work embraces a holistic paradigm recognizing body, mind, and spirit, and focuses on helping clients learn to love and care for themselves as special and unique beings. Clearing out negative beliefs, healing emotional wounds, and eliminating toxic influences help clients live more authentic and empowered lives.
(505) 407-4573 View (505) 407-4573
Photo of Carol MacHendrie, LCSW, ACSW, Clinical Social Work/Therapist
Carol MacHendrie
Clinical Social Work/Therapist, LCSW, ACSW
Verified Verified
Santa Fe, NM 87501
Not accepting new clients
Whether you are a couple on the brink of divorce, experiencing infidelity (romantic relationships, emotional affairs, financial infidelity), in recovery, have ADHD, issues of transition,, or experiencing illness or loss, I have the experience to work successfully to help you remain in your relationship.I am a strength based neurobiologically informed couples therapist and offer an integrated model for change while providing a flexible, creative and compassionate approach to your concerns. I have been practicing in Santa Fe for the past 37 years. My passion is working with couples change their lives and thrive.
Whether you are a couple on the brink of divorce, experiencing infidelity (romantic relationships, emotional affairs, financial infidelity), in recovery, have ADHD, issues of transition,, or experiencing illness or loss, I have the experience to work successfully to help you remain in your relationship.I am a strength based neurobiologically informed couples therapist and offer an integrated model for change while providing a flexible, creative and compassionate approach to your concerns. I have been practicing in Santa Fe for the past 37 years. My passion is working with couples change their lives and thrive.
(505) 718-4709 View (505) 718-4709
Photo of Susan Jane Riley, MA, Counselor
Susan Jane Riley
Counselor, MA
Verified Verified
Santa Fe, NM 87508  (Online Only)
Forty years as a depth psychotherapist, with wisdom gleaned from C.G. Jung and yogic principles, has given me the skills to help people find their own path to meaning, self-awareness, balance and authenticity. Through careful exploration of memory, fears and dreams, I help clients work toward well-being by helping them understand psychic wounds, abandon outmoded patterns of self-protection, and apply useful strategies for handling the inevitable conflicts of daily life.
Forty years as a depth psychotherapist, with wisdom gleaned from C.G. Jung and yogic principles, has given me the skills to help people find their own path to meaning, self-awareness, balance and authenticity. Through careful exploration of memory, fears and dreams, I help clients work toward well-being by helping them understand psychic wounds, abandon outmoded patterns of self-protection, and apply useful strategies for handling the inevitable conflicts of daily life.
(505) 726-4891 View (505) 726-4891
Photo of Chris Chappell, MA, MS, LMHC, Counselor
Chris Chappell
Counselor, MA, MS, LMHC
Verified Verified
4 Endorsed
Santa Fe, NM 87501
Are you struggling with a challenging transition, what might feel like too much change too fast? Feeling stuck in a family, work, or relationship issue? Is anxiety, stress, grief, anger or depression keeping you from living the life you want? Do you like the idea of working in person and outdoors? I work with those who aspire to grow, especially those who love nature and especially men. I am especially skilled at helping you navigate change. My holistic approach incorporates body, mind, spirit, and nature. I help you connect to your body and to nature in a way that illuminates the brilliant core essence of who you are.
Are you struggling with a challenging transition, what might feel like too much change too fast? Feeling stuck in a family, work, or relationship issue? Is anxiety, stress, grief, anger or depression keeping you from living the life you want? Do you like the idea of working in person and outdoors? I work with those who aspire to grow, especially those who love nature and especially men. I am especially skilled at helping you navigate change. My holistic approach incorporates body, mind, spirit, and nature. I help you connect to your body and to nature in a way that illuminates the brilliant core essence of who you are.
(505) 257-4229 View (505) 257-4229
Photo of Francesca Louise Shrady, MA, LPCC, Counselor
Francesca Louise Shrady
Counselor, MA, LPCC
Verified Verified
Santa Fe, NM 87505
Waitlist for new clients
Finding a therapist can be a daunting process, and possibly a first step toward trusting your intuition. Many of my clients are intelligent, creative and accomplished, yet experience a broad range of issues, including anxiety and depression, relationship issues, low self-esteem, trauma, and addictive patterns. Our work together will focus on empowering you to understand the source of your distress, gain greater balance and improve the quality of your life to expand your potential for making new choices.
Finding a therapist can be a daunting process, and possibly a first step toward trusting your intuition. Many of my clients are intelligent, creative and accomplished, yet experience a broad range of issues, including anxiety and depression, relationship issues, low self-esteem, trauma, and addictive patterns. Our work together will focus on empowering you to understand the source of your distress, gain greater balance and improve the quality of your life to expand your potential for making new choices.
(505) 535-4901 View (505) 535-4901
Photo of Rae Carroll, LMHC, ATR-P, Counselor
Rae Carroll
Counselor, LMHC, ATR-P
Verified Verified
1 Endorsed
Santa Fe, NM 87501  (Online Only)
I am dedicated to supporting LGBTQIA+ individuals and anyone navigating self-love, post-trauma joy, and identity empowerment. Therapy with me is a collaborative journey focused on fostering resilience, healing, and personal growth. Together, we'll explore your unique experiences and challenges, aiming to cultivate self-acceptance, authenticity, and a renewed sense of purpose. Whether you're striving to embrace your true identity, heal from past wounds, or rediscover joy and fulfillment, I provide a compassionate and affirming space where you can explore, heal, and thrive.
I am dedicated to supporting LGBTQIA+ individuals and anyone navigating self-love, post-trauma joy, and identity empowerment. Therapy with me is a collaborative journey focused on fostering resilience, healing, and personal growth. Together, we'll explore your unique experiences and challenges, aiming to cultivate self-acceptance, authenticity, and a renewed sense of purpose. Whether you're striving to embrace your true identity, heal from past wounds, or rediscover joy and fulfillment, I provide a compassionate and affirming space where you can explore, heal, and thrive.
(505) 716-4270 View (505) 716-4270
Photo of Ellen J Shabshai Fox, LCSW, Clinical Social Work/Therapist
Ellen J Shabshai Fox
Clinical Social Work/Therapist, LCSW
Verified Verified
Santa Fe, NM 87505  (Online Only)
I welcome clients who seek therapy in order to change behaviors, relationships, or careers that are unsatisfying, and those who wish to unleash their creative energies - in the arts, business, academia, in parenting, and partnership. I especially enjoy clients who are questioning their relationship with addictive substances and are ready to take positive action. I have a warm and engaging style that my cients enjoy. I also specialize in healing the trauma of equestrian accidents.
I welcome clients who seek therapy in order to change behaviors, relationships, or careers that are unsatisfying, and those who wish to unleash their creative energies - in the arts, business, academia, in parenting, and partnership. I especially enjoy clients who are questioning their relationship with addictive substances and are ready to take positive action. I have a warm and engaging style that my cients enjoy. I also specialize in healing the trauma of equestrian accidents.
(505) 484-2860 View (505) 484-2860
Photo of Tod Dicecco, MA, LPCC, Counselor
Tod Dicecco
Counselor, MA, LPCC
Verified Verified
2 Endorsed
Santa Fe, NM 87507
I take a holistic approach to the transformational and healing process. I offer the opportunity to explore personal growth through the mind, body, and spirit. I use mindfulness practices to guide individuals and families through relationship challenges, grieving difficulties, and issues related to substance abuse, trauma, and other life stressors.
I take a holistic approach to the transformational and healing process. I offer the opportunity to explore personal growth through the mind, body, and spirit. I use mindfulness practices to guide individuals and families through relationship challenges, grieving difficulties, and issues related to substance abuse, trauma, and other life stressors.
(505) 225-1386 View (505) 225-1386
Photo of Kasia McRoberts, MA, LPCC, MHC, Counselor
Kasia McRoberts
Counselor, MA, LPCC, MHC
Verified Verified
Santa Fe, NM 87505
My office is a safe place to talk about difficult things with no judgement, no matter who you are. Loneliness, worry, grief, loss, alcohol/drug misuse, and sadness are very common feelings and experiences. We all attempt to find relief from such pain and sometimes the relief is helpful but not necessarily healthy. I collaboratively work with people, including professionals in the helping field, to experience their discomfort with far more ease by using sound therapeutic modalities and coping skills. Along the way I will also help you realize that you are far more resourceful and capable than you may currently believe.
My office is a safe place to talk about difficult things with no judgement, no matter who you are. Loneliness, worry, grief, loss, alcohol/drug misuse, and sadness are very common feelings and experiences. We all attempt to find relief from such pain and sometimes the relief is helpful but not necessarily healthy. I collaboratively work with people, including professionals in the helping field, to experience their discomfort with far more ease by using sound therapeutic modalities and coping skills. Along the way I will also help you realize that you are far more resourceful and capable than you may currently believe.
(505) 509-5234 View (505) 509-5234
Photo of Louis Levin, PhD, Psychologist
Louis Levin
Psychologist, PhD
Verified Verified
Santa Fe, NM 87505
I see a range of clients with depression, anxiety, and dissatisfaction with adjustment to their daily lives and/ or specific situations, who hope to move through these difficulties and experience fulfilling and satisfying lives.
I see a range of clients with depression, anxiety, and dissatisfaction with adjustment to their daily lives and/ or specific situations, who hope to move through these difficulties and experience fulfilling and satisfying lives.
(505) 560-7916 View (505) 560-7916
Photo of Jennifer Gillespie, MA, LPCC, HC, Counselor
Jennifer Gillespie
Counselor, MA, LPCC, HC
Verified Verified
Santa Fe, NM 87505  (Online Only)
I take a straight forward approach to counseling. I am objective and direct, while being warm, easy-going and supportive. I will help you figure out what it is that is getting in the way of your happiness, wellbeing or success at whatever pace feels comfortable to you. Are you feeling motivated and ready to make changes in your life? I specialize in treating anxiety, stress, relationship issues, work issues and trauma in adults.
I take a straight forward approach to counseling. I am objective and direct, while being warm, easy-going and supportive. I will help you figure out what it is that is getting in the way of your happiness, wellbeing or success at whatever pace feels comfortable to you. Are you feeling motivated and ready to make changes in your life? I specialize in treating anxiety, stress, relationship issues, work issues and trauma in adults.
(505) 436-3626 View (505) 436-3626
Photo of Truth Berenson, LCSW, Clinical Social Work/Therapist
Truth Berenson
Clinical Social Work/Therapist, LCSW
Verified Verified
Santa Fe, NM 87501
I work with both individuals and relationships. My work is rooted in developing a strong therapeutic relationship. I invite clients to explore relational dynamics and to safely become more honest with themselves and others. I support clients to clearly identify boundaries, honor desires, and expand their capacity to tap into innate resources. My approach is informed by psychodynamic theory, somatic experiential interventions, spiritual and archetypal counseling, parts work, creative arts therapy, and goal-oriented coaching. Together we will facilitate changes that are both radical and sustainable.
I work with both individuals and relationships. My work is rooted in developing a strong therapeutic relationship. I invite clients to explore relational dynamics and to safely become more honest with themselves and others. I support clients to clearly identify boundaries, honor desires, and expand their capacity to tap into innate resources. My approach is informed by psychodynamic theory, somatic experiential interventions, spiritual and archetypal counseling, parts work, creative arts therapy, and goal-oriented coaching. Together we will facilitate changes that are both radical and sustainable.
(505) 576-8300 View (505) 576-8300
Photo of Lisa Danner, LCSW, Clinical Social Work/Therapist
Lisa Danner
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Santa Fe, NM 87505
Do you find yourself dreading going home, anticipating the same destructive interactions with loved ones? Are you isolating? Can you imagine truly fulfilling relationships with clear communication and a satisfying life? Do you believe that you are ready for a new chapter? Are you willing to change? If the answer is YES, you have already begun the process; awareness is the first step. If you are ready to make the commitment to yourself to realize the life you want and deserve to be living, let me help you with that. My job will be to deliver non-judgmental clarity, along with the safety, empathy and guidance to get you there.
Do you find yourself dreading going home, anticipating the same destructive interactions with loved ones? Are you isolating? Can you imagine truly fulfilling relationships with clear communication and a satisfying life? Do you believe that you are ready for a new chapter? Are you willing to change? If the answer is YES, you have already begun the process; awareness is the first step. If you are ready to make the commitment to yourself to realize the life you want and deserve to be living, let me help you with that. My job will be to deliver non-judgmental clarity, along with the safety, empathy and guidance to get you there.
(505) 557-1445 View (505) 557-1445
Photo of Olivia Summa, PsyD, Psychologist
Olivia Summa
Psychologist, PsyD
Verified Verified
1 Endorsed
Santa Fe, NM 87507
Waitlist for new clients
My goal as a clinician is to deeply understand and be by your side as you explore your life and circumstances. I will always hold compassion for you and help you find it for yourself as you work toward emotional healing and growth. I have a psychodynamic lens and perspective but pull interventions from a wide range of evidence-based practices such as Family Systems Therapy, CBT, ACT, and DBT. My aim as a therapist is to understand where the problems in your life and relationships began, how they are maintained, and from that understanding, how we can make meaningful change.
My goal as a clinician is to deeply understand and be by your side as you explore your life and circumstances. I will always hold compassion for you and help you find it for yourself as you work toward emotional healing and growth. I have a psychodynamic lens and perspective but pull interventions from a wide range of evidence-based practices such as Family Systems Therapy, CBT, ACT, and DBT. My aim as a therapist is to understand where the problems in your life and relationships began, how they are maintained, and from that understanding, how we can make meaningful change.
(505) 605-5371 View (505) 605-5371
Photo of Jill Sara Rosenberg, MA, LMFT, Marriage & Family Therapist
Jill Sara Rosenberg
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
Santa Fe, NM 87505
I know that the process of beginning therapy can be overwhelming because I’ve been there. It takes vulnerability and courage to ask for help. I also know that therapy works because I’ve seen it--in my own life and in the lives of my clients. I congratulate you on taking this significant step toward finding relief and reconnecting with your most authentic self. I’m so glad you’re here. My practice is grounded in my belief that the therapeutic relationship provides a unique opportunity to explore experiences and parts of ourselves that are hard to look at alone. We are all capable of healing, growth and transformation at any point.
I know that the process of beginning therapy can be overwhelming because I’ve been there. It takes vulnerability and courage to ask for help. I also know that therapy works because I’ve seen it--in my own life and in the lives of my clients. I congratulate you on taking this significant step toward finding relief and reconnecting with your most authentic self. I’m so glad you’re here. My practice is grounded in my belief that the therapeutic relationship provides a unique opportunity to explore experiences and parts of ourselves that are hard to look at alone. We are all capable of healing, growth and transformation at any point.
(213) 293-4497 View (213) 293-4497
Photo of S Davis Porterfield, MA, LMHC, MBACP, Counselor
S Davis Porterfield
Counselor, MA, LMHC, MBACP
Verified Verified
Santa Fe, NM 87501
Not accepting new clients
It takes courage to ask for help, and it can feel humbling to speak to a stranger about the difficult or painful parts of our life. I offer a non-judgmental and supportive space in which we can work together to help you find clarity and healing. I work compassionately, with humor and straight-forwardness, supporting greater awareness, insight, choice and fulfillment.
It takes courage to ask for help, and it can feel humbling to speak to a stranger about the difficult or painful parts of our life. I offer a non-judgmental and supportive space in which we can work together to help you find clarity and healing. I work compassionately, with humor and straight-forwardness, supporting greater awareness, insight, choice and fulfillment.
(505) 560-9855 View (505) 560-9855
Photo of Lynn R Bos, LCSW, Clinical Social Work/Therapist
Lynn R Bos
Clinical Social Work/Therapist, LCSW
Verified Verified
Santa Fe, NM 87505
I am a licensed clinical social worker, with over 25 years of clinical practice; with specialized, advanced training in the Neuro-Affective Relational Model (NARM) for Complex Developmental Trauma. I help clients heal patterns of relating to self and other that get in the way of what it is they’re most wanting for themselves—whether that’s greater peace of mind, more confidence, or sustaining, healthy relationships. I currently have a full time practice— online in Illinois, and in person in Santa Fe, New Mexico.
I am a licensed clinical social worker, with over 25 years of clinical practice; with specialized, advanced training in the Neuro-Affective Relational Model (NARM) for Complex Developmental Trauma. I help clients heal patterns of relating to self and other that get in the way of what it is they’re most wanting for themselves—whether that’s greater peace of mind, more confidence, or sustaining, healthy relationships. I currently have a full time practice— online in Illinois, and in person in Santa Fe, New Mexico.
(815) 317-4762 View (815) 317-4762
Photo of Scott A Temple, LCSW, Clinical Social Work/Therapist
Scott A Temple
Clinical Social Work/Therapist, LCSW
Verified Verified
Santa Fe, NM 87505  (Online Only)
I work with people who are struggling with feeling overwhelmed, and they may be experiencing anxiety or depression, or feelings of low self esteem or hopelessness and are searching for meaning and purpose, to make sense of their lives and their world and their place in it. They may want to improve how they communicate with others and themselves by learning to challenge and change negative and destructive thought and behavioral patterns. As social creatures we want and need to be heard and seen, to be validated and accepted!
I work with people who are struggling with feeling overwhelmed, and they may be experiencing anxiety or depression, or feelings of low self esteem or hopelessness and are searching for meaning and purpose, to make sense of their lives and their world and their place in it. They may want to improve how they communicate with others and themselves by learning to challenge and change negative and destructive thought and behavioral patterns. As social creatures we want and need to be heard and seen, to be validated and accepted!
(505) 448-0563 View (505) 448-0563
Photo of Elizabeth Morris, LCSW, LMT, MDiv, RYT, Clinical Social Work/Therapist
Elizabeth Morris
Clinical Social Work/Therapist, LCSW, LMT, MDiv, RYT
Verified Verified
1 Endorsed
Santa Fe, NM 87505
Waitlist for new clients
I am currently not accepting any new clients. I do have a waitlist. I have worked with mothers and their families across the lifecycle including adolescence, pregnancy, postpartum, menopause, and end-of-life concerns. I specialize in working with individuals and families in transition such as the transition to becoming pregnant, becoming parents, changing jobs, empty nesters, and aging/loss. If you are looking to heal old patterns and beliefs that keep you stuck than we might be a good fit to work together. I also utilize EMDR therapy to reprocess past traumatic incidents so that you can heal and move forward in your life.
I am currently not accepting any new clients. I do have a waitlist. I have worked with mothers and their families across the lifecycle including adolescence, pregnancy, postpartum, menopause, and end-of-life concerns. I specialize in working with individuals and families in transition such as the transition to becoming pregnant, becoming parents, changing jobs, empty nesters, and aging/loss. If you are looking to heal old patterns and beliefs that keep you stuck than we might be a good fit to work together. I also utilize EMDR therapy to reprocess past traumatic incidents so that you can heal and move forward in your life.
(505) 551-3520 View (505) 551-3520
Photo of James Kuzava, LCSW, Clinical Social Work/Therapist
James Kuzava
Clinical Social Work/Therapist, LCSW
Verified Verified
Santa Fe, NM 87505
I have been a practicing psychotherapist since 1982. I have worked in a variety of settings and am comfortable treating individuals, couples, and families. I especially enjoy working with older adolescents/young adults struggling with self-identity issues that can include co-occurring disorders. Strong background in treating substance use disorders. I also specialize in anger related issues with concomitant mood disorders.
I have been a practicing psychotherapist since 1982. I have worked in a variety of settings and am comfortable treating individuals, couples, and families. I especially enjoy working with older adolescents/young adults struggling with self-identity issues that can include co-occurring disorders. Strong background in treating substance use disorders. I also specialize in anger related issues with concomitant mood disorders.
(505) 796-6423 View (505) 796-6423
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How does your Therapist compare?

Number of Therapists in Santa Fe, NM

600+

Average cost per session

$150

Therapists in Santa Fe, NM who prioritize treating:

91% Anxiety
85% Depression
77% Relationship Issues
77% Trauma and PTSD
75% Self Esteem
70% Grief
67% Stress

Average years in practice

13 Years

Top 3 insurances accepted

73% BlueCross and BlueShield
71% Presbyterian
65% Medicaid

How Therapists in Santa Fe, NM see their clients

60% In Person and Online
40% Online Only

Gender breakdown

76% Female
22% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Santa Fe?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.